GMS Carriers 49 and 50
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Claims are adjudicated 24 hours a day, 7 days a week, except on Sunday from 12:00 a.m. to 7:00 a.m. EST.
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Claims are processed within a business day.
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No, electronic submissions of predetermination requests are not accepted by the insurance company.
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Yes, assignment of payment to the provider is possible, providing the plan member’s policy enabled this feature.
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Payment is made by direct deposit or cheque (providers requiring cheques will incur a fee), depending on how the provider is registered with TELUS Health. Payment frequency is twice a month (on the 5th and the 20th of each month). Providers are setup with electronic statement by default. To request a paper statement, please contact the Express Scripts Canada Call Centre at 1-800-563-3274.
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No, coordination of benefits is not supported.
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Yes, it is possible, if the procedure code is allowed. If not, only the first claim will be paid.
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Expenses can be electronically submitted for all healthcare roles that TELUS Health currently supports, except for occupational therapists and social workers.